APPLICATION FORM

Atomic Clusters (INT-98-2)
June 29 to August 28, 1998

Family name:                               

First name:

 o Professor      o Research Associate     

 o Graduate student     o Other: 

Department:

Institute:

Address:


Office Tel #:                    Home Tel #:

Fax #:                           E-mail:

Preferred length of stay:

Please check the box next to the preferred week(s) for your visit. 
(Dates below are Sundays).

June 1998         July 1998        August 1998
o June 29         o July  5        o Aug. 2
                  o July 12        o Aug. 9
                  o July 19        o Aug. 16
                  o July 26        o Aug. 23

1. Recent publications/preprints related to subject of program:



2. Research problems to be pursued during this program:



3. Do you want to give a seminar on your research?  If so, 
provide the title and attach a short abstract.



Please fax, mail or email this form to Nancy Dragun at the address 
below by October 31, 1997 if you can. We shall accept late
applications however if INT will be able to accommodate such requests.


Nancy Dragun
Institute for Nuclear Theory
University of Washington
Physics /Astronomy Building
Box 351550
Seattle, WA 98195-1550

Fax: 206-685-3730
dragun@phys.washington.edu



PS Carolyn Danford has been replaced by Nancy Dragun. Any
correspondence you might have sent in one way or another to
Carolyn has or will reach Nancy from now on.